Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Juan Noguera, RSA

Individual provider Surgical Assistant · NPI 1063398071

Juan Noguera, RSA is a Surgical Assistant in Mokena, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2025
Specialties on file
2

Practice location Address checks out

19015 S Jodi Rd
Mokena, IL 60448-8514
Phone: (708) 995-5418
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 238000836 (IL)
Surgical Assistant Taxonomy 246ZC0007X · Licence 238000836 (IL)

Record details

NPI number1063398071
Entity typeIndividual (Type 1)
GenderMale
Credentials RSA
Sole proprietorYes
NPI enumeratedAugust 14, 2025
Last updated in NPPESAugust 14, 2025
Certification dateAugust 14, 2025

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